Gordon, Barbara

Gordon, Barbara is an individual health care provider with primary practice located at 2040C Tamiami Trl , Port Charlotte FL 33948-2178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gordon, Barbara can be contacted via phone (941) 629-4464.

Contact Information

Primary practice address
2040C Tamiami Trl Port Charlotte FL 33948-2178
Phone: (941) 629-4464
Fax: (941) 629-4701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3273802 Florida

Profile Details

NPI number 1043465339
LBN Legal business name Gordon, Barbara
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Dec 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043465339 NPPES
Florida MEDICAID 306152300

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